AFFORDABLE CARE ACT REPORTING:
What Form Should I File?
Y
ear-end 2015 will bring new reporting requirements for
employers for the Affordable Care Act (ACA). In addition
to year-end Form W-2, which report wages for employees, the
new year-end ACA Forms 1094 and 1095 report health insurance
coverage for employees. Any Applicable Large Employers (ALEs)
— those with more than 50 full-time equivalent employees
— are required to file these forms, regardless of whether your
organization offers health insurance coverage.
Here’s how you can keep these complicated reporting
requirements straight. There are two kinds of forms — the “B”
forms (1094-B and 1095-B) and the“C”forms (1094-C and
1095-C).
The“B”forms must be filed by insurance companies and
employers who are NOT ALEs but who are sponsors of selffunded health plans. This means that small employers who are
not subject to the employer mandate but are self-funded are
subject to this reporting.
The purpose of the “B”forms is to report individuals who
are covered by minimum essential coverage so they won’t be
penalized for not having insurance.
The “C”forms are only filed by ALEs, regardless of whether
the employer sponsors a group health plan, whether it is fully
insured or self-funded, and even if the ALE is exempt from
the employer mandate. The purpos Hو \